ICU持续护理质量改进防止导管相关性血流感染防护措施的实施

To Improve ICU Nursing Quality and Promote The Implementation of Protective Measures in the Catheter-related Bloodstream Infections

目的促进ICU护理人员防止导管相关性血流感染防护措施的实施,减少导管相关性血流感染的发生率。方法通过改进ICU护理人员教育培训方法 ,强化ICU护理人员对导管相关性感染防护措施的执行意识,改进护理质量检查方式,减少临床护理措施实施的缺陷,提高措施的实施。结果通过持续质量改进,导管相关性血流感染防护措施有缺陷导管数占检查导管数从第一季度的30.9%下降到第四季度的11.3%;从对外科ICU的导管相关性血流感染的目标性监测结果可见,第三季度每1000个导管使用天数的感染率为5.17,第四季度为0,全年度为1.94,有显著的效果。结论注重ICU护理质量管理,落实导管相关性血流感染防护措施的实施,能有效地控制导管相关性血流感染的发生率。

Objective The incidence of catheter-related bloodstream infections（CRBSI） was reduced by implementing the promotion of protective measures in the ICU nursing staff.Methods The education and training of ICU nursing staff was improved and the executive consciousness of CRBSI prevention measurements was strengthened,the inspection pattern of nursing quality was also improved to reduce the defects in implementation of clinical nursing measures and to implement the improvement.Results The improvement of nursing quality has reduced the percent of defective catheter of the inspected catheter in the protection measures in CRBSI from 30.9% of the first quarter to the 11.3% of the fourth quarter.And the objective monitoring results of the SICU CRBSI indicated significant effect,for the infection rate in 1000 catheter utilization of the third quarter was 5.17 and 0 in the fourth quarter against the 1.94 of the year.Conclusion It is effective to control the incidences of CRBSI by improving the ICU nursing quality administration and the implementation of protective measures of CRBSI.